Jeffrey David Mudrick in Portland - Psychiatry
Jeffrey David Mudrick - NPI 1669592697
Jeffrey David Mudrick is a Psychiatry in Portland, Oregon. Jeffrey David Mudrick practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jeffrey David Mudrick is 1669592697. The last update date is 2023-09-26.
Jeffrey David Mudrick's current location address is 5050 Ne Hoyt St Ste 522, Portland, Oregon. You can contact this provider via phone number 5032364343 and fax number 5032340271. The mailing address for Jeffrey David Mudrick is 5050 Ne Hoyt St Ste 522, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey David Mudrick |
|---|---|
| Address | 5050 Ne Hoyt St Ste 522, Portland, Oregon |
| Phone Number | 5032364343 |
| Fax Number | 5032340271 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669592697 |
|---|---|
| Provider Enumeration Date | 2007-03-31 |
| Last Updated Date | 2023-09-26 |
Provider Mailing Address Detail
| Address | 5050 Ne Hoyt St Ste 522 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132984 |
| Phone Number | 5032364343 |
| Fax Number | 5032340271 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD163714 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11984603 | CAQH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey David Mudrick?
The Jeffrey David Mudrick has been issued the NPI (National Provider Identifier) 1669592697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeffrey David Mudrick?
The Jeffrey David Mudrick is physically situated at 5050 Ne Hoyt St Ste 522, in the city of Portland, state of OR, with the postal code 972132984.
What is the Jeffrey David Mudrick's area of specialization and corresponding taxonomy classification?
The Jeffrey David Mudrick's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
When did the Jeffrey David Mudrick receive its 1669592697?
The Jeffrey David Mudrick was issued its 1669592697 on 2007-03-31, which is the date when the organization was assigned this unique identifier.
When was the information related to Jeffrey David Mudrick most recently updated or refreshed?
The details pertaining to the Jeffrey David Mudrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-09-26.
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